| NPI | 1700803228 |
|---|---|
| Other Name | GREENVILLE ORAL & MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | THEODORE GABRIEL MUCHITENI Owner/Doctor 252-830-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 5566) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |